論文

国際誌
2022年8月25日

BCL6 inhibition ameliorates ruxolitinib resistance in CRLF2-rearranged acute lymphoblastic leukemia.

Haematologica
  • Shinobu Tsuzuki
  • Takahiko Yasuda
  • Hiroaki Goto
  • Naoko Maeda
  • Koshi Akahane
  • Takeshi Inukai
  • Hideyuki Yamamoto
  • Sivasundaram Karnan
  • Akinobu Ota
  • Toshinori Hyodo
  • Hiroyuki Konishi
  • Yoshitaka Hosokawa
  • Hitoshi Kiyoi
  • Fumihiko Hayakawa
  • 全て表示

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3324/haematol.2022.280879

Philadelphia chromosome-like acute lymphoblastic leukemia (Ph-like ALL) is intractable and mostly harbors genetic alterations that activate JAK or ABL signaling. The commonest subtype of Ph-like ALL exhibits the CRLF2 gene arrangement that brings about JAK1/2-STAT5 pathway activation. However, JAK1/2 inhibition alone is insufficient for treatment, necessitating combinatorial therapies targeting multiple signals. To better understand the mechanisms underlying the insufficient efficacy of JAK inhibition, this study explored gene expression changes upon treatment with a JAK1/2 inhibitor (ruxolitinib) and revealed BCL6 elevation as one such mechanism. Upregulated BCL6 suppressed TP53 expression along with its downstream cell cycle inhibitor p21 (CDKN2A) and proapoptotic molecules, such as FAS, TNFRSF10B, BID, BAX, BAK, PUMA, and NOXA, conferring cells in part with therapy resistance. The BCL6 inhibition (FX1) alone was able to upregulate TP53 and restore TP53 expression that ruxolitinib had diminished. In addition, ruxolitinib and FX1 concertedly downregulated MYC. As a result, FX1 treatment alone had growth-inhibitory and apoptosis-sensitizing effects, but the combination of ruxolitinib and FX1 more potently inhibited leukemia cell growth, enhanced apoptosis sensitivity, and prolonged xenografted mice survival. These findings provide one mechanism for the insufficiency of JAK inhibition for CRLF2-rearranged ALL treatment and BCL6 inhibition as a potentially helpful adjunctive therapy combined with JAK inhibition.

リンク情報
DOI
https://doi.org/10.3324/haematol.2022.280879
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36005560
ID情報
  • DOI : 10.3324/haematol.2022.280879
  • PubMed ID : 36005560

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